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Monday, November 16, 2009 Tabla asks

Q: HIgh ferritine levels after TAC chemo?

I'm being treated for breastcancer (non metastatic) and after my second TAC chemo I experienced irregular heartbeats, so besides the regular weekly bloodtest I requested my ferritine level to be checked, as low ferritine levels caused this problem before in the past.

To my surprise ferritine levels were above normal  at 322.32 ng/mL (normal values 4.6-204). My oncologist did not give me a straight answer as to what caused this, and I'm afraid it may have to do with liver damage, but high ferritene levels may be something that is common to this kind of chemotherapie.

Other levels were low (as to be expected). HCT 34.2 (NV 36.0-46.0), WBC 2.17 (NV 4-10), NEUT 0.98 (NV 2.50-7.50), LYM 0.87 (1.50-3.50), but PLT within the normal values.

I'd taken vit. B1,B6 and B12 for five days before the test, and had an Pegfilgrastem (Neulasta, 6 mg) shot 6 days before the bloodtest.

So what I'd really like to know is what may have caused this high level, and if it would be wise to have additional tests.

 

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Answers (1)
PJ Hamel, Health Guide
11/17/09 6:16am

I'm sorry, this is beyond our expertise here - we're not doctors, and don't have the kind of knowledge necessary to advise you on this. Since you don't seem to trust your oncologist, I'd ask him/her for a referral to another oncologist for a second opinion. OR I'd be right upfront: "I don't think you're giving me a straight answer here. I need to hear the truth. If you don't know, tell me how I can find out what's causing these high ferritine levels." And don't let the doctor off the hook till you get an answer you can run with. Good luck - PJH

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11/18/09 12:22am

Thanks, I called the oncologist and said I wouldn't go through with the next chemo if he didn't give me a straight answer. He said that because of the cell damage large amounts of ferritin are released into the blood and that this may be the reason for the elevated levels, but in that in any case the bloodtest that is done before each course has tests indicating if the liver function well or not, so I needn't worry about that. Just shows you have to put your foot down if you really want an answer.

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PJ Hamel, Health Guide
11/18/09 4:33am

Well, excellent! Glad you were able to get the answer you needed. And he's right, the blood test prior to chemo is designed to look at liver function... Good luck with your treatment going forward - PJH

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By Tabla— Last Modified: 12/25/10, First Published: 11/16/09